Chronic Bronchitis

Essay by Beerlover March 2006

download word file, 3 pages 1.0

The disease chronic bronchitis is defined in clinical terms as a condition

in which a chronic productive cough is present at least three months per year for

at least two consecutive years (Egans p. 140). The definition also includes there

is no other known cause for the cough. Chronic bronchitis can occur without

airflow obstruction. However, signs and symptoms usually only become

significant when there is an obstruction.

Chronic bronchitis is more prevalent among heavy smokers.

The most common sign of chronic bronchitis would be the chronic phlegm

producing cough. Chronic bronchitis patients with airflow obstructions

will sometimes exhibit dyspnea on excertion, and the patient will likely have

decrerased airflow due to bronchiospasms.

When diagnosing chronic bronchitis test results will show normal lung

volumes, diffusion capacity, and static lung compliance. On the other hand a

simple arteial blood gas will show a decresaed PAO2 and an increased

PaCO2 meaning a decrease in gas exchange.

The patients chest x-ray

would also show "dirty lungs" with peribronchial cuffing which suggest

thickened bronchial walls.

When treating chronic bronchitis patients with airflow obstruction it

is important to determine what is causing the obstruction (bronchiospasms,

mucous plugging or both) and provide the best therapy for your patient

for this paper I will be teating a patient with retained secretions as well as

acute bronchiospasms.

Bronchodilater therapy would be benificial in treating the patients

bronchospasms. The patient can be given this therapy at home or in the

hospital as needed via MDI or SVN assuming the patient is able follow

directions a MDI with spacer would be the best option. It is important to monitor

heart and respiritory rates, blood pressure, and breath sounds before, during,

and after treatment to ensure there are no adverse effects. To monitor a

patients progress using this therapy pre and...